Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $116.63 / $238.14	Facility		$75.98	$116.63	$238.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $70.72 / $141.36	Professional		$34.20	$70.72	$141.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.44 / $346.71 / $1,193.97	Facility		$137.44	$346.71	$1,193.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $87.54 / $178.07	Professional		$38.90	$87.54	$178.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Facility		$42.11	$42.11	$42.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $107.17 / $141.30	Professional		$62.04	$107.17	$141.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $116.35 / $402.94	Professional		$87.32	$116.35	$402.94
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $96.86 / $103.19	Professional		$94.54	$96.86	$103.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.69 / $116.69	Professional		$32.34	$45.69	$116.69
United Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $93.11 / $146.82	Professional		$44.91	$93.11	$146.82